“People who speak in metaphors should shampoo my crotch.” ~Jack Nicholson (as Melvin Udall)
I honestly believe that we all feel pain differently, handle problems differently, that what might bring me to my limit may be easy for you. When my friends with normal kids realize that they are complaining to me about things their kids are doing that I wish Pearlsky could do, they get all apologetic and freaked out. I explain that those are big things to them and I understand the perspective and have no problem with it. Just because Pearlsky and David are more [severe]/[messed up]/[disabled] (pick one) than your kid, does not necessarily mean my life is tougher than yours or yours is easier than mine. We all have our limits, talents, and our own shit.
We got some medical news today on Pearlsky that I am having a lot of trouble dealing with, something some of you easily deal with daily. When I wrap my head around it, I’ll post more on it. She will be okay.
A metaphor is often an analogy between two things.
An analogy draws a comparison in order to show a similarity in some respect.
An essay is usually a short piece of writing which is quite often written from an author’s personal point of view.
Hence, a metaphoric essay is a short piece of writing which draws a comparison between two things that share some similarity.
It is said that Welcome to Holland is a metaphoric essay. It is often given to parents when they become the lucky parents of a disabled child. Even though the author’s child has Down Syndrome, he has acted professionally, co-wrote song lyrics and co-wrote a book. The essay is his mother’s analogy to raising a child with special needs.
To share this essay with the parents of a severely disabled child is misplaced. There are two issues here. One is that her child, while disabled, is extremely high functioning. The other issue, is that the author just does not have a clue, in my humble opinion.
When you’re going to have a baby, it’s like planning a fabulous vacation trip to Italy.
Wow, really? Unless you are a contestant for I Didn’t Know I Was Pregnant, (a real and bizarre show), you are telling me that planning for a baby takes a week or two of part-time thinking? There is a similarity? That is how serious you take bringing a child into the world? Glad you ain’t my mother.
You buy a bunch of guide books and make your wonderful plans.
Right, just like planning a vacation. Yep.
The Coliseum, the Sistine Chapel, Gondolas. You may learn some handy phrases in Italian.
Some of us think about schools, neighborhoods, major roads abutting our yards, crime, resources, and family. Not learning how to babble.
It’s all very exciting. After several months of eager anticipation, the day finally arrives. You pack your bags and off you go.
Absolutely.
Several hours later, the plane lands. The stewardess comes in and says, “Welcome to Holland!”
In reality, several hours later, the baby is born. The doctor comes in and says, “We rushed your baby to the NICU, the neonatal intensive care unit. We are not sure she will survive.” Yep, good analogy.
“Holland?” you say. “What do you mean, Holland? I signed up for Italy. I’m supposed to be in Italy. All my life I’ve dreamed of going to Italy.”
“NICU, what do you mean intensive care? The ultrasounds and amnio were normal. What is happening to my baby? Why is she not in the nursery? My baby is normal, she must be normal.”
But there’s been a change in the flight plan. They’ve landed in Holland and there you must stay.
No, for you there is a change. Your kid is starting a life that you cannot fathom, and you are stuck with this forever. Yep, intensive care … Holland … intensive care … Holland … hmmm, yeah, fairly equal.
The important thing is that they haven’t taken you to a horrible, disgusting, filthy place full of pestilence, famine, and disease. It’s just a different place.
The important thing is that they have taken your kid to a place to be hooked up to life support, spending all day in a clear plastic box, hanging on to life. It’s not the nursery, it’s just a different place.
So, you must go out and buy new guidebooks.
Now you surf Amazon and buy “Surviving Pregnancy Loss” and read the Book of Job.
And you must learn a whole new language.
Amino acids, anoxia, aspiration, atrophy, cerebellum, asthenia, ataxia, clonus, demyelination, edema, encephalitis, etiology, oligodendrocyte cells, cortical visual blindness, hypoxia, myelin, spasticity, hypertonic, hypotonic, visual evoked potential, aphasia, IEP, NICU, infantile spasms, …
And you will meet a whole new group of people you would never have met.
And you get to meet radiologists, neurologists, metabolism specialists, geneticists, endocrinologists, gastroenterologists, physiatrists, social workers, school nurses, department of public protection investigators, Ken, etc.
It’s just a different place.
To paraphrase Dorothy … There’s no place like hell.
It’s slower paced than Italy, less flashy than Italy.
It’s not nursery school, but they do put Disney characters on the wall and wear child friendly scrubs.
But after you’ve been there for a while and you catch your breath, you look around. You begin to notice that Holland has windmills. Holland has tulips. And Holland even has Rembrandts.
After you’ve been to the hospital, ER, and clinics a few dozen times, you start to look around. You find the Starbucks across the street. The hospital has wifi. Some of the nurses are cute. The doctors call you “ma’am” or “sir” and are all younger than you.
But everyone you know is busy coming and going from Italy, and they’re all bragging about what a wonderful time they had there. And for the rest of your life you will say, “Yes, that’s where I was supposed to go. That’s what I had planned.”
All your friends have normal kids. The other kids in school are normal or much higher functioning than yours. The other parents tell you of milestones reached. And for the rest of your life you will say “Why my kid? What went wrong? Why?”
And the pain of that experience will never, ever, ever, go away. The loss of that dream is a very significant loss.
So now, Ms. Kingsley, you are comparing the pain of having a Down Syndrome kid who acts on T.V., writes songs and books, and analogizing that to going to Holland instead of Italy AND you talk of pain that will “never, ever, ever, go away.” Now you’re starting to piss me off. Yes, we all experience pain differently, have different limits as I started this post saying, but come on. Not a single moment of no pain from having a kid that has starred on a T.V. show? A kid that exceeded your wildest dreams in the beginning?
But if you spend your life mourning the fact that you didn’t get to Italy, you may never be free to enjoy the very special, the very lovely things about Holland.
I guess you wrap up with “man up,” get a life, enjoy what you have since it ain’t so bad.
This is not a story to share with anyone with a severely disabled child. First, the analogy makes no sense. Second, the author does not have a clue. Third, there is nothing helpful here.
There is NO analogy to holding your child during a prolonged and uncontrolled seizure. Period. If you have never done it there is NO way to describe it.
There is NO analogy to being told your child will probably not get out of the NICU alive. Period.
There is NO analogy to having a severely disabled child without a diagnosis. No analogy for that pain. Period.
Just get ready to rise to the occasion. And as my mom says, “Yes, you do have a choice. You can do it well, or you can fuck it up.”
Maybe one of these days I’ll post my version …
Welcome, Right This Way a metaphoric essay as told by Cerberus
and if I hear from Emily Perl Kingsley, I’ll post her response!
I hate Welcome to Holland. I think it meant something to me for approximately three months, but after that I found more solace and wisdom in the newsletter “Mothers from Hell” — a pre-internet bit of genius support.
Oh, and I’m sorry to hear about more “news” regarding Pearlsky. My ears are open whenever you’re ready.
I too await the news, and I’m with Elizabeth…while I can respect that some people can take something from WTH, I prefer to live more by the initials WTF?
Love to shred that piece…so tired of having it shoved into my face time and time again. They love to put in all the brain injury newsletters that I now immediately throw away when I receive them. Thanks for doing it in your own inimitable style. Hope you can wrap your head around the “news” soon.
You know, I’m glad someone besides myself really disliked that piece. I know the author meant well, and it sounds fabulous for something mild. But it just made me feel worse when I kept getting it as a source of “comfort”, guilty for not being able to see what happened to us that way.
First and foremost, I’m also awaiting the news about Pealsky’s health. Write about it when you feel up to it, but not a minute sooner.
I’ve always hated “Welcome To Holland” as well. It’s right up there with the chipper people who tell me that God will never give me more than I can handle.
You know, I’m with you and I hate the Holland piece with a passion. It gave me the urge to stab myself in the eye every time someone threw it at me in the NICU or PICU or whatever CU we happened to be at. I agree, there is no analogy, and this essay is massively inappropriate for parents with severely disabled kids.
I hate the core sentiment of the piece, according to which “Holland” is not a ‘worse place’, it’s just a ‘different’ place. Considering the fact that I spent the first year of my daughter’s life in different hospitals wondering whether she will survive and now I spend my days and nights suctioning, cleaning up mucus, watching her seize, and I will never hear her say “Mommy”, I could safely say that ‘this place’ is not just different, it is significantly suckier.
However, in all fairness, Ms. Kingsley probably wrote the essay to describe her own experience and it’s not her fault that people quote it in inappropriate situations.
I also hope that you will wrap your head around the medical news soon. Sorry for the longass comment.
You know, that poem was given to me time and time again. When I ran a support group, I read it aloud one time and everyone cried. I looked around the room and thought “Seriously? You are crying over THIS? I hope it’s because you think it’s as fucked up as I do”. Italy is NOT just as nice as Holland. There are no windmills when I watch my kid seize. There are no damn tulips when her g-tube unhooks during the night and she milks the bed and wakes up a stinky, sticky, cold mess. There are no travel guides that walk you through “All the tests came back normal, we still seven years later cannot give your daughter a diagnosis”.
Fuck Holland. Fuck Italy.
And I hope the medical news about Pearlsky is not horrible.
Came here from Ken’s blog. Your last several lines were powerful and skillfull. We (I) who do not suffer have no way to understand those who do…until we dare to imagine what you described. Your children are on my mind.
I’ve said it before- the Holland essay isn’t for parents of special needs- it’s for parental adjacents. Aunts, uncles, grandparents, that kind of thing. It’s for people that want the primary caretaker to be well, and be able to deal with the diagnosis, and Holland gives them hope that there won’t be too many seizures, too many sleepless nights, MRIs and EEGs.
Instead of Italy to Holland, I’ve always thought it should be Italy to a Turkish Prison.
As a mom who has a child with Down syndrome…. I so did NOT get Holland.Not even close.My child has been to hell and back and we right along with her.
I also disagree immensely with the analogy of the fact I was apparently suppose to be in Italy,not Holland.
In my opinion I am just where I am suppose to be,in this moment.It’s what I do while I am here, that matters.
I will never have the child she speaks of and I never was meant to.
That’s a lame essay on a good day.
I always thought having a SN kid was more like getting on the plane to Italy, and having the plane crash land in Antartica….in winter.
Holland has Amsterdam–and places to buy pot! Italy has Pope Benedict (and his cadre of child molesting priests escaping justice by hiding out in the Vatican) who hates gay people and women along with those little itinerant pickpockets. If you’re having a stressful day, you might rather go to Holland than Italy, just for the coffeehouses. You can at least smoke some pot and not think about the Pope!
Dear Single Dad,
Two little words jjumped out at me while reading your list of words you had to learn…infantile spasms. Did Pearlsky have these as a baby? Just curious, as my daughter was diagnosed with them at age 8 months (10 years ago), and I wondered what treatment they used with Pearlsky.
I also received this essay when my daughter was in the hospital. Total BS. I must have thrown it away, as I no longer have it.
Hope all turns out well with Pearlsky.
I guess that essay stirs some passion …
Richelle: No, Pearlsky did not have infantile spasms, but they were mentioned a couple of times early on. I know they are a tough one to deal with.
Richelle, we’ve got infantile spasms. So did Ken’s kid.
My daughter had infantile spasms, too.
I take offense at that piece. Holland is a much better place to be than Italy. We have (semi-) legal marihuana and no Berlusconi.
So true!! I’ve always hated that Holland piece! When you have a disabled child there are often no truly good moments. Instead, your standards are lowered to “she smiled” or she looked like she was in a good mood. My child can’t grasp a toy, and she will never walk. She can’t speak so I will never hear her say “mom.” What she does have is a back operation with a full spinal fusion, rods on either side of her spine, and rods going into her hips. A seizure disorder that gives her almost constant seizures. Definitely doesn’t compare to any vacation I’ve ever heard of…except hell. Maybe there’s no humidity there?!
As you mentioned in the beginning of the post different people feel pain differently and deal differently with difficulties.
After reading both your posts I completely understand your perspective. However from where I’m standing it was welcomed reading. Here is why
My son have being diagnosed with PDD-NOS. He is mild to moderate on the autistic spectrum.
In the beginning there was self harm. Now after 3+ years of ABA we have him in mainstream school with aide. We are very worried about his future but we still have some hopes of him finding someplace that he can fit.
This of course is not relevant to your situation.
I encountered “welcome to Holland” in a class titled “parents teachers partnership” at the local university in which the professor asked for parents for special needs children to attend.
To me that essay was not exactly source of comfort but rather a good illustration of my situation. When I’m talking if front of students (that professor asked me to speak in the 2 years afterwards) I say that after the diagnosis (which I understand is something you have not had the benefit of) and learning about ABA comes new anxiety since according to the statistics about 40% of children on the spectrum that receive early intensive ABA will be able to fully integrate. So now as a parent you thing that if only you learn dutch well enough you may still have a chance to visit Italy. (and again this is not relevant to you or any other parent of a child with moderate and sever advisability). And with this comes the guilt of:
“Am I doing enough?” (of course not)
“Can I do more?” (Sure you can)
“Am I jeopardizing his chances to able to mainstream?” (by not taking him to that doctor doing this therapy etc etc”
I know that at least the first two are things that nag at most parents but more so for parents that have child with disability.
I used it few time to explain to friends and relatives my situation.
I’m not that there is a bottom line to what I’m saying. If there is one it is that I in my situation found it helpful and I found that analogy as far as those go fitting.
All the best to you.
Next spring when I’ll talk to new group of students I will mention your point because I think you bring something important to this discussion.
“Welcome to Holland” is not about the people who post here. It is for the Oren’s in the world, those for whom reframing can and does help. But if you look closely at the essay, you might find that a part that will speak to you. The author says, “The important thing is that they haven’t taken you to a horrible, disgusting, filthy place full of pestilence, famine, and disease. It’s just a different place.” For most of the reader of this blog, the plane DID take them to a horrible, disgusting, filthy place full of pestilence, famine, and disease. Now, one can find beauty in Darfur. But Holland, it is not. And in Darfur, life is really nasty and brutish. Perhaps this essay can help people understand the differences between the experiences of people like Oren (and Tom Fields-Meyer who just published the book “Following Ezra”) and the world of Single Dad, Claire, Erika, Rachael, and Ken.
“Welcome to Beirut” is a better essay for many of us.
http://www.chicagonow.com/fighting-autism-and-winning/2011/01/welcome-to-holland-beginners-guide-to-autism/
OMG. I googled, “fuck you welcome to holland,” and came up with your blog. I hate that stupid essay so much! It’s so stupid and useless! My baby was stuck in a hospital 200 miles from home for nine months. That’s not Holland, that’s hell. You’re a better writer than me, though.
I miss you! It’s taken a long time to comment on this, and sadly I did not participate in the project. It’s just not the right time for me. My kid became one of our kids at four. I think I read something called “Dear New Parent” or something like that on some Canadian blogger’s site. Yes, you probably read it too. It was beautiful and brutal. It summed it all up for me. I hope it was used because it would have been perfect.
I hope you and your Family are well. Many blessings to you and Pearlsky.
Someone posted the Holland piece on our estranged parents support forum – and I must say – I am not a parent of a child with disabilities but I thought it was in very poor taste. The loss of a dream vacation falls short when compared with the loss of the dream of a healthy child. I was rather appalled to thing any parent of a child with disabilities would liken it to a trip to Holland.
The reality is that after a vacation is over, you can always come home – no matter where you go (or wind up). You can forget you ever went to Holland if you’d like – and you can also get your money back because of the screw up – (unless YOU got on the wrong plane), and you can always go to Italy for your next trip. When you have a child with disabilities, you cannot leave and there are no do overs.
The analogy would more be like you plan to go on a vacation to Italy, but the plane lands in Holland and then you are told that you not only must stay there, but you can never go home again. And while it indeed, may be a very lovely place with many interesting sites – your entire life (and the lives of those around you), has been changed forever.
IMO – Having a child with disabilities should never be compared to going to a wrong vacation spot. Having a child with disabilities is a tremendous commitment – with much hard work and dedication – It cannot be compared to a vacation at all. My deepest respect and admiration goes out to all the parents who fight the good fight every day – 24/7.
If you read carefully the item, you would have noticed that you are to stay in Holland:
“They’ve landed in Holland and there you must stay.”
“And you must learn a whole new language”
As I mentioned above I can see the point of people that find that story and metaphor irking. I found helpful to illustrate *my* personal experience, to people that don’t have personal experience with caring for children with disabilities.